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Ami Bouterse

NPI 1932892171 · on the registry since 2023 · sole proprietor

Practice

Address
4235 Green Bay Rd
Kenosha, WI 53144
Phone
(262) 652-1418
Clinicians at this address
3

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin